Westphal Glauco Adrieno, Caldeira Filho Milton, Vieira Kalinca Daberkow, Zaclikevis Viviane Renata, Bartz Miriam Cristine Machado, Wanzuita Raquel, Réa-Neto Alvaro, Teixeira Cassiano, Franke Cristiano, Machado Fernando Osni, Andrade Joel de, Matos Jorge Dias de, Fiorelli Alfredo, Lamgaro Delson Morilo, Nagel Fabiano, Dal-Pizzol Felipe, Costa Gerson, Teles José Mário, Melo Luiz Henrique, Coelho Maria Emília, Youssef Nazah Cherif Mohamed, Duarte Péricles, Souza Rafael Lisboa de
Rev Bras Ter Intensiva. 2011 Sep;23(3):269-82.
The role of intensive care specialists in the maintenance of deceased potential donors is not restricted to hemodynamics. Appropriate endocrine-metabolic management is fundamental to maintaining energy support and hydroelectrolytic control, which cooperate for hemodynamic stability. Hematological changes are also important, especially considering the issues caused by inappropriate transfusions. In addition, this article discusses the role of appropriate protective ventilation to prevent inflammatory responses and to provide more transplantable lungs. Finally, judicious assessment of infections and antibiotic therapy is discussed.
重症监护专家在维持潜在死亡供体方面的作用并不局限于血流动力学。适当的内分泌代谢管理对于维持能量支持和水电解质控制至关重要，这两者共同作用以维持血流动力学稳定。血液学变化也很重要，尤其是考虑到不适当输血所引发的问题。此外，本文还讨论了适当的保护性通气在预防炎症反应以及提供更多可用于移植的肺脏方面的作用。最后，还讨论了对感染的审慎评估和抗生素治疗。
